Hotaki Cosmetic Dermatology

Updated 19 July 2023

provider is registered to carry out the regulated activity of surgical procedures and treatment of disease disorder and injury at:

Hotaki Cosmetic Dermatology

First Floor

69 Harley Street

London

W1G 8QW

The service provides cosmetic treatments to people over the age of 18 years.

Hotaki Cosmetic Dermatology registered with CQC under the Health and Social Care Act 2008 for thread lift treatments and treatment with botox of acne and excessive sweating. The treatment of thread lifts is carried out by a general practitioner who is registered with the Health Professions Council.

The service offered appointments at the convenience of the patients.

How we inspected this service

The methods that were used interviewing the provider, a site visit and review of documentation.

To get to the heart of patients’ experiences of care and treatment, we always ask the following five questions:

• Is it safe?

• Is it effective?

• Is it caring?

• Is it responsive to people’s needs?

• Is it well-led?

These questions therefore formed the framework for the areas we looked at during the inspection.

Updated 19 July 2023

This service is rated as Requires improvement overall.

The key questions are rated as:

Are services safe? – Requires improvement

Are services effective? – Good

Are services caring? – Good

Are services responsive? – Good

Are services well-led? – Requires improvement

The provider was registered for the regulated activity of surgical procedures and treatment of disease, disorder, or injury at Hotaki Cosmetic Dermatology 22 February 2022. This is the first announced comprehensive inspection of the service following CQC registration.

This service is registered with CQC under the Health and Social Care Act 2008 in respect of some, but not all, of the services it provides. There are some exemptions from regulation by CQC which relate to particular types of regulated activities and services and these are set out in Schedule 1 and Schedule 2 of The Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Hotaki Cosmetic Dermatology provides a range of non-surgical cosmetic interventions, for example, skin rejuvenation and anti-ageing treatments, non-surgical eye lift blepharoplasty, which are not within CQC scope of registration. Therefore, we did not inspect or report on these services.

The services we have inspected and fall within the CQC scope of practice were thread lifts and

treatment with botox of acne and excessive sweating

Dr Nur Hotaki is the registered manager. A registered manager is a person who is registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Our key findings were:

• During the inspection, the registered manager was made aware of some areas of governance and risk that required improvements, these were either responded to on the day or shortly following the inspection. This meant that during the inspection the service was unable to demonstrate that they were embedded fully or that they were sustainable. For example, some of the expired medication and single use equipment, lack of fridge temperature monitoring, lack of oversight of the premises and fire risk assessments and lack of a system to encourage patient feedback.
• Patients received effective care and treatment that met their needs.
• Patients could access care and treatment in a timely way.

The areas where the provider must make improvements as they are in breach of regulations are:

• Establish effective systems and processes to ensure good governance in accordance with the fundamental standards of care.
• Ensure care and treatment is provided in a safe way to patients.

(Please see the specific details on action required at the end of this report).

The areas where the provider should make improvements are:

• Carry out the appropriate calibration checks on the service equipment. For example, the fridge.
• Complete the correct level of safeguarding adult training.
• Display a oxygen symbol in the area the oxygen is stored.

Dr Sean O’Kelly BSc MB ChB MSc DCH FRCA

Chief Inspector of Health Care